Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
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Our File No: | CS3/AIG21007430/VVF3N2 |
| Date: | 15/07/2021 |
REFERENCE |
| Handling Insurer: | AIG Asia Pacific Insurance Pte. Ltd. |
Policy No: | 1700022454 |
| Claimant Vehicle No : | GBK8298Z | Insured Vehicle No : | SLQ2265H |
| Date of Loss: | 03/07/2021 |
Nature of Claim: | TP |
Claim No: |
0378089996SG
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| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | GBK8298Z |
| Make & Model: | TOYOTA HIACE, 3.0 D TURBO 5 DR (M) |
Engine No: | 1KDB061782 |
| Reg. Date: | 10/12/2020 (Man. Year: 2020) |
Chassis No: |
JTFHT02P400250904 |
| Colour: | White |
Odometer: | 20476 km |
| Engine Capacity: | 2982 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 195R15C |
Rear Tyre Size: | 195R15C |
|
Front Left Side:
| Bridgestone 6 mm | |
Rear Left Side:
| Bridgestone 6 mm | |
| Front Right Side: | Bridgestone 6 mm | |
Rear Right Side: | Bridgestone 6 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
0.00 |
0.00
|
0.00 |
|
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
0.00 |
0.00 |
0.00 |
|
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Nett Amount (S$) |
0.00 |
0.00 |
0.00 |
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| INSPECTION |
| Date of Assignment: | 08/07/2021 |
| Date Inspected: | 08/07/2021 |
Inspected At: | Cosmopolitan Engrg. Services Pte Ltd (HQ)
3011 Bedok Industrial Park E #01-2006 S(489977)
Singapore 489977 |
| Estimated Period of Repair: | 7.0 days |
| Adjuster: |
Thevan Thomas Karthikesavan |
|
Manager:
|
VERON CHEN
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NOTE: This report represents our findings at the time and place of inspection stated herein. Such inspection has been carried out to the best of our knowledge and ability but any other liability under any other circumstances is hereby expressly excluded.
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MARKET VALUE: $78,000.00 (EST)
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Recommended Parts
| Report was unsubmitted during this print-out. |
| No. | Qty |
Part No. |
Particulars |
Condition | Repairer's | |
Amount |
|
| 1 |
1 |
|
*FRT BUMPER |
Cut |
0.00 |
F |
*- |
F |
| 2 |
1 |
|
*FRT BUMPER SIDE RETAINER RH |
Cracked |
0.00 |
F |
*- |
F |
| 3 |
1 |
|
*FRT BUMPER BRACKET |
Broken |
0.00 |
F |
*- |
F |
| 4 |
1 |
|
*FRT BUMPER REINFORCEMENT |
Repair |
0.00 |
F |
*- |
F |
| 5 |
1 |
|
*FRT RH BUMPER FOG LAMP COVER |
Bent |
0.00 |
F |
*- |
F |
| 6 |
1 |
|
*FRT GRILLE |
Cracked |
0.00 |
F |
*- |
F |
| 7 |
1 |
|
*FRT CORNER PANEL RH |
Distorted |
0.00 |
F |
*- |
F |
| 8 |
1 |
|
*FRT RH HEADLAMP ASSY |
Cracked |
0.00 |
F |
*- |
F |
| 9 |
1 |
|
*AIR CLEANER ASSY |
Cracked |
0.00 |
F |
*- |
F |
| 10 |
1 |
|
*FRT RH FENDER |
Dented |
0.00 |
F |
*- |
F |
| 11 |
1 |
|
*FRT RH DOOR |
Dented |
0.00 |
F |
*- |
F |
| 12 |
1 |
|
*FRT DOOR FRT PILLAR RH |
Dented |
0.00 |
F |
*- |
F |
| 13 |
1 |
|
*FRT STEP PANEL TOP GARNISH RH |
Dented |
0.00 |
F |
*- |
F |
| 14 |
1 |
|
*FRT STEP PANEL RH |
Dented |
0.00 |
F |
*- |
F |
| 15 |
1 |
|
*FRT STEP PANEL INNER GARNISH RH |
Dented |
0.00 |
F |
*- |
F |
| 16 |
1 |
|
*STICKER |
Necessary |
0.00 |
F |
*- |
F |
| F=Franchise part. |
|
| Total Parts (S$) |
0.00 | | 0.00 | |
| |
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Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
There are no labour items selected. |
< END OF ESTIMATES >